| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9012 |
Other specified case management service not elsewhere classified |
4,361 |
2,233 |
$801K |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,271 |
1,162 |
$274K |
| H0043 |
Supported housing, per diem |
548 |
547 |
$212K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,303 |
750 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
310 |
202 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
133 |
93 |
$584.95 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
30 |
26 |
$34.16 |
| 4274F |
|
464 |
415 |
$0.00 |
| 1159F |
|
859 |
811 |
$0.00 |
| 1160F |
|
859 |
811 |
$0.00 |
| 3078F |
|
532 |
508 |
$0.00 |
| 4004F |
|
12 |
12 |
$0.00 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
15 |
14 |
$0.00 |
| 1036F |
|
119 |
118 |
$0.00 |
| 3008F |
|
731 |
699 |
$0.00 |
| 2010F |
|
836 |
796 |
$0.00 |
| 2000F |
|
799 |
764 |
$0.00 |
| 4010F |
|
199 |
184 |
$0.00 |
| 2001F |
|
770 |
736 |
$0.00 |
| 1034F |
|
155 |
148 |
$0.00 |
| 3351F |
|
150 |
149 |
$0.00 |
| 3074F |
|
491 |
466 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |
| 3079F |
|
46 |
46 |
$0.00 |
| 3075F |
|
14 |
14 |
$0.00 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
39 |
39 |
$0.00 |
| 3044F |
|
13 |
13 |
$0.00 |
| 90656 |
|
14 |
14 |
$0.00 |
| 4037F |
|
20 |
20 |
$0.00 |